Saviour Sinus Surgery!

February 27, 2021 by Dr Ravinder Gera0
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Saviour Sinus Surgery!

Do you ever feel that the only way to clear your sinuses is to explode a nuclear missile down your nose? Gone are the days when it was supposed to feel that impossible. Sinus surgery, also known as Functional Sinus Endoscopic Surgery, makes it possible for you to live a sinus free life and breathe with ease. 

Sinuses are air cavities present between the bones of the face. These cavities, which are opened in the nose through small holes, are called Ostia. The wall of the cavities is lined with mucus. This mucus is drained out of the Ostia. FESS is a surgery to unblock the openings of the sinuses. 

Sinus surgery may be necessary when these infections are recurrent or persistent. Sinus surgery is most commonly used to treat chronic sinusitis (inflammation of the nose and sinuses) but maybe needed for other sinus problems.

Surgery involves widening the openings between the sinuses and the inside of the nose so that the air can get in and the drainage can get out. It may involve the removal of infected sinus tissue, bone or polyps. Modern sinus surgery has less post-operative bleeding, is less invasive and involves a shorter recovery time than previous sinus surgery.

 

There are two kinds of sinus surgery :

Functional sinus endoscopic surgery (FESS): This is the most common type of sinus surgery. It is done by looking through the nose with a nasal endoscope (a small telescope) to see the nose’s inside and the entrances to the sinuses. The same nostril uses other instruments to perform the procedure.

Image-guided surgery: FESS is often performed with an image-guided system that uses computed tomography (CT) scans to help the surgeon identify anatomy and remove only the required tissue. This helps the surgeon know when they are getting close to the sine margin and thus improves safety.

Other procedures may be used for more serious sine problems, including the Caldwell Luc operation and endoscopic skull base surgery.

Measures were taken before the surgery :

Your doctor will perform a preoperative screening and may prescribe medicines to prevent infection, swelling or other complications during the procedure. After midnight, the night before surgery, you won’t be able to eat or drink anything. Your doctor should inform you of any medications or supplements that may lead to bleeding before surgery, such as aspirin and ibuprofen.

The procedure of the surgery :

The surgery is performed under general or local anaesthesia. Surgeons, with the help of endoscopic cameras, widen the view inside the nose to obtain clarity. Surgeons identify infected, swollen sinuses. The Ostia (holes to the nose) is enlarged to increase the drainage from the sinuses. This reduces the chance of recurrence and clears the inflammation. FEZS relieves the pain and heals the sinuses and the openings.

Post-surgery measures:

You will receive local or general anaesthesia (most often general anaesthesia). The surgery may last from 1 to 3 hours or more, depending on the type of surgery being performed. Upon completing the surgery, you will be taken to the recovery room to wake up from the anaesthetic. Before you leave the surgery centre, you will be given instructions on what to do at home to help speed up your surgery.

 

Dr Ravinder Gera


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